Both difficult children are going back this morning for a follow-up with the psychiatrist. For difficult child 1, we are evaluating the Tegretol -- I think it's helping. I want to know if there's wiggle room for more improvements (hope I'm not chasing sunshine... I just want the best possible outcome). I also want to know if we can do something about the skin picking that is still lingering, though not as bad as before. And to find out what other options for treating his IBS are out there that won't mess with his head like Elavil did. And for difficult child 2, we're looking at whether the Intuniv is helping. I believe it is. He seems much more on-the-ball with his work, remembering to do things, writing assignments down, getting signatures in his planner. Not so zoned out. He's at 2mg now, so not sure if that's maxed out, but it's another question I have: how high can he go and does more mean better symptom control. Our psychiatrist's office manager (it's just a two-person office) is leaving for good next week. She said she can't make ends meet working in this state and is moving back in with her sister in CT. We've been at this practice for 10 years and she's been a part of it for 8 of those years! I'm really going to miss her. Not sure if they've founda replacement -- psychiatrist's wife has filled in before, but for a variety of reasons she just can't do that full-time. Whomever they hire has some pretty big shoes to fill. I'll update later with today's outcome.